Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH B SUNDERLIN, PAC
ActiveKEITH B SUNDERLIN, PAC is a Physician Assistant healthcare provider located in PROVIDENCE, Rhode Island. NPI 1093707655 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PROVIDENCE, RI
Registration Details
- NPI Number
- 1093707655
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2005 (20.95056321286 yrs)
- Last Updated
- Oct 22, 2010
- Licenses
-
102283 (NC)PA00417 (RI)
Practice Information
- Address
-
593 EDDY STAPC 4PROVIDENCE, RI, 029034923Browse RI providers · Browse ZIP 02903
- Phone
- 4014444000
- Fax
- 4014446681
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| LYNNE A BISBANO | PA-C | 1245234517 |
| MICHAEL S CREMINS | PHYSICIAN ASSISTANT | 1083611073 |
| NATHAN L BARRINGTON | PA | 1144227992 |
| GRACIETTE DA SILVA | PA-C | 1144221862 |
| ROBYN M OSTAPOW | PA-C | 1104819341 |
| ELIZABETH D BUCKLEY | PA | 1730173139 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.